Individual
BRENDA KAY DINGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Mailing address
9773 M RD, NESS CITY, KS 67560-6029
(785) 798-5223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53-78872-062
KS
363LF0000X
Family Nurse Practitioner
Primary
78872
KS
Other
Enumeration date
07/12/2019
Last updated
07/30/2019
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